UNIVERSITY OF BOLTON ljs3 SCHOOL OF HEALTH AND HUMAN SCIENCES BSc (HONS) ADULT NURSING SEMESTER TWO EXAMINATION 2017/2018 PRINCIPLES OF MEDICINES MANAGEMENT MODULE CODE: HLT5018 Date: Wednesday 31 January 2018 Time: 10.00 am - 11.30 am INSTRUCTIONS TO CANDIDATES: There are 27 questions. Answer ALL questions. Marks for parts of questions are shown in brackets. Equipment allowed: Calculator
Page 2 of 6 NUMERACY QUESTIONS 1. A patient is prescribed 0.6g of drug A to be given orally. Drug A is available in 200mg tablets. How many tablets would you administer for each dose? 2. Convert 725ml into litres. 3. Your patient requires 1.2mg of drug B to be taken orally. The drug is available as 200 microgram capsules. How many capsules would you administer for each dose? 4. A prescription has been written for 70mg of drug C to be given intramuscularly. The vial contains 1 ml of a 100mg/ml solution of Drug C. How many millilitres (mls) would you administer? 5. Your patient is prescribed 375mg of a drug D orally. The drug is supplied in liquid form as 150mg/5ml. How many millilitres (mls) would you administer? 6. Your patient is prescribed 15mg three times a day of drug E. Drug E is available in 5mg capsules. How many capsules will the patient take each day? 7. Convert 1200 micrograms into milligrams (mg)..
Page 3 of 6 8. Your patient has been prescribed 1000ml of fluid over 4 hours, the administration set delivers 15 drops per ml. Calculate the infusion rate in drops per minute. Please round your answer to the nearest whole number. 9. Your patient is prescribed 2.5 litres of fluid F to be administered over 24 hours. How many millilitres (mls) would you administer per hour? Please round your answer to 2 decimal places. 10. Your patient is prescribed drug G which is stocked in 40mg in 2ml vials. He requires 25 mg to be administered daily. How many millilitres (mls) would you administer for each dose? Please round your answer to 2 decimal places. 11. A patient is prescribed 200mg/kg/day of antibiotic H. The patient weighs 70kg. What is the total dose the patient requires per day in grams? 12. A patient is prescribed 600 micrograms of drug X by nebulizer. The medication is available as 400 micrograms/1ml. What volume in millilitres (mls) is required for the administration? 13. Convert 85mg to grams.
Page 4 of 6 14. Your patient has consumed 2 cups of coffee (170 ml in each cup), 3 glasses of water (300 ml in each glass), 1 cup of soup (125ml), one dose of IV Paracetamol (50ml) and 1.5 litre of IV fluid. Calculate the total fluid intake in millilitres (mls). 15. A blood transfusion of 390ml is to be given via a blood administration set (20 drops/ml) over 5 hours. Calculate the infusion rate in drops per minute. Please round your answer to the nearest whole number.
Page 5 of 6 MEDICINES MANAGEMENT QUESTIONS 16. What does the nurse need to consider when seeking consent from a patient to take medication? 17. What are the FOUR ethical principles underpinning (bio) medical ethics? 4 marks 18. List the four pharmacokinetic processes involved in the body s handling of a drug. 4 marks 19. Name the three physiochemical properties of drugs. 20. What is the purpose of metabolism of a drug? 21. What would you do if a patient suffered an adverse drug reaction to a medicine you administered? 22. What is your understanding about the term compliance when considering a patient s concordance with medicines?
Page 6 of 6 23. Name three reasons why it might not be appropriate to administer medicine to a patient by the oral route. 24. What is Pharmacovigilance? 25. Why would some people not take medication that is prescribed for them? Give three examples. 26. What do you understand by the term steady state? 27. Name two things to consider when giving medicines to elderly patients. END OF QUESTIONS